短暂性脑缺血发作进展为脑梗死风险的ABCD2评估  

ABCD2 assessment of the risk of stroke after a transient ischemic attack

作　　者：吕达平[1] 韩咏竹[2] 程楠[2] 汪永全[1] 陈欣[1] 杨莹[1] 喻绪恩[2] 周志华[2] 

机构地区：[1]安徽医科大学第四附属医院神经内科,安徽合肥230022 [2]安徽中医学院神经病学研究所附属医院

出　　处：《现代预防医学》2013年第18期3514-3516,共3页Modern Preventive Medicine

基　　金：安徽省卫生厅2009年青年科研基金(09B134);安徽省高等学校2007年省级自然科学研究项目(KJ2007B324ZC)

摘　　要：目的探讨采用ABCD2评分法预测短暂性脑缺血发作进展为脑梗死的价值。方法按照ABCD2评分标准对132例短暂性脑缺血发作患者评分,据评分（0~7分）分为低危组、中危组、高危组,随访3个月内进展为脑梗死的发生率。结果中、高危组患者与低危组相比,脑梗死发生率差异均有统计学意义（P﹤0.05）,而中、高危组间差异无统计学意义,脑梗死发生率与ABCD2分值呈现明显正性相关性,且ABCD2各变量均参与短暂性脑缺血发作进展为脑梗死的影响。结论 ABCD2评分标准是预测短暂性脑缺血发作短期进展为脑梗死的一种简便、有效的方法。短暂性脑缺血发作患者均应通过评估,预测预后,对中、高危组,特别是年龄≥60岁及发作时间≥60 min的患者,更应加强各种可控危险因素的系统治疗和分层管理。OBJECTIVE The objective of this study is to evaluate the validity and reliability of ABCD2 scores in the prediction of the risk of stroke after a transient ischemie attack （TIA）. METHODS 132 TIA patients were evaluated based on the ABCD2 criteria, and were divided into low-, median-, and high-risk groups based on the scores （0 to 7）. The patients were revisited after 3 months and the occurrence of cerebral infarction （CI） among the patients was reported. RESULTS Differences in the occurrence of CI in both the median- and high-risk groups were statistically significant than that of the lowrisk group （P 〈 0.05）, while no statistically significant difference was observed between the median-risk and high-risk groups （P〈 0.0167）. The occurrence of CI was positively correlated with the ABCD2 scores （rs＇ = 0.8743, 0.01 〈 , P〈 0.02）, and all parameters of ABCD2 were associated with the risk of CI after TIA. CONCLUSION ABCD2 assessment is a simple and effective approach for the prediction of short-term stroke risk after TIA, and shall be performed on all TIA patients. Systematic treatment and multi-layered management of various controllable risk factors shall also be emphasized on median- and highrisk patients, especially on those over 60 years of age or having been experiencing a TIA for over 60 min.

关 键 词：ABCD2评分 短暂性脑缺血发作 脑梗死 

分 类 号：R473.31[医药卫生—护理学]